Individual provider Active NPI

Joanne Diformato, RPH

  • Pharmacotherapy Pharmacist
  • Plant City, FL
National Provider Identifier
1437433729
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
PCT.0009168 Issued in CT
Practice address
2202 James L Redman Pkwy
Plant City, FL 33563-7107
Phone
(401) 741-0608
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X RPH04081 RI
Pharmacotherapy Pharmacist 1835P1200X PCT.0009168 CT Primary

Addresses

Primary practice location

2202 James L Redman Pkwy
Plant City, FL 33563-7107

Mailing address

2202 James L Redman Pkwy
Plant City, FL 33563-7107
Phone (813) 752-2672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PCT.0009168CTMDPharmacotherapy Pharmacist
RPH04081RIMDPharmacotherapy Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1437433729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 JAMES L REDMAN PKWY",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637107",
            "telephone_number": "813-752-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 JAMES L REDMAN PKWY",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637107",
            "telephone_number": "401-741-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFORMATO",
        "first_name": "JOANNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "RI",
            "license": "RPH04081",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CT",
            "license": "PCT.0009168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.